BACKGROUND OF THE INVENTION
[0001] The present invention generally relates to apparatus, for processing and treating
biological fluids, such as blood and blood components. More particularly, the present
invention relates to such apparatus having a light sensing system to measure the illumination
intensity of a plurality of lamps
[0002] Apparatus, methods and systems for treating biological fluids, such as blood and
blood components, with light are well known. For example,
U.S. Patent No. 4,952,812, discloses an apparatus for treating unwanted white blood cells in platelet concentrate
with ultraviolet radiation to limit the ability of white cells to trigger an immune
reaction in a patient. To treat containers of platelet concentrate, the containers
are placed on a slidable drawer that is introduced into a housing between facing arrays
of lamps for irradiation from both sides of the container. During irradiation, the
drawer (or a portion of the drawer) may be pivoted in a rocking motion to agitate
the platelet concentrate.
[0003] U. S. Patent No. 5,557,098, discloses a system and apparatus for treating a biological fluid with light for
the purpose of inactivating pathogens that may be present in the biological fluid.
A slidable drawer is used to position the containers of biological fluid between facing
arrays of light emitting diodes. Extended flaps on the containers, located outside
the light field, are automatically punched to indicate different stages of the light
treatment.
[0004] U.S. Patent No. 6, 245, 570, discloses apparatus and methods for treating a container of a blood product between
two facing arrays of light. The container includes a light sensitive tape that changes
color when exposed to ultraviolet light, thereby indicating when the treatment process
is complete.
[0005] Still other apparatus and systems for treating biological fluid are disclosed in
U.S. Patent No. 4,726,949,
U.S. Patent No. 5,709,991,
U.S. Patent No. 6,433,343 and
U.S. Patent No. 6,190,609,
An apparatus according to the preamble of claim 1 is known from document
WO 00/747 31 A1.
The utilisation of a light intensity to frequency converter for processing the light
intensity is known eg from document
US 6 031 613 A.
[0006] while the prior art apparatus, systems and methods have generally worked satisfactorily,
there is a need for improved apparatus, systems and methods that provide, for example,
improved reliability and accuracy, greater flexibility and efficiency, improved ease
of use and serviceability, as well as enhanced tracking, record keeping and the like.
SUMMARY OF THE INVENTION
[0007] The following summary is intended as an overview of certain aspects of the present
invention. It is not intended by this summary to limit or expand the scope of the
claims, which define the scope of the present invention. The mention of certain features
or elements in this summary does not mean that such elements or features are necessary
to the use or practice of the invention in its broader or other aspects, or that such
should be read into claims that do not expressly recite such feature or element. Conversely,
the absence of any mention of certain elements or features is not intended to detract
from the significance of such elements or features in those claims in which they are
expressly included.
[0008] The present invention is embodied in an apparatus as defined in Claim 1 in this specification
[0009] Apparatus according to the invention includes a light sensing system for apparatus
to treat a biological fluid in a fluid treatment chamber with at least one light source.
The light sending system comprises a plurality of light sensors to sense the light
level within the treatment chamber. The light sensors preferably provide output frequency
signals that are related to the sensed light intensity. This frequency signal is counted
and analyzed to determine the light intensity in the treatment chamber. Multiple frequency
signals from multiple sensors may be multiplexed prior to counting. The count of the
frequency signals may be corrected with calibration coefficients that were determined
in a prior calibration procedure.
[0010] Suitably, apparatus according to the invention includes an electronic control system
for the biological fluid treatment apparatus with a computer circuit board and an
interface circuit board to interface a display, an operator input device, the light
sensing system, the lamp control system and a plurality of sensors and the like with
the computer circuit board.
[0011] Apparatus according to the invention may be used in methods for calibrating, sensing
and correcting light intensity measurements. The methods also include determining
the length of treatment of a biological fluid in order to reach a desired illumination
dose.
BRIEF DESCRIPTION OF THE DRAWINGS
[0012] FIG. 1 is a perspective view of an apparatus for treating a biological fluid with
light, embodying the present invention;
[0013] FIG.2 is a perspective view of the apparatus of FIG.1 showing the modular components
of the apparatus separated;
[0014] FIG. 3 is a perspective view of the apparatus of FIG. 1 with the front access door
open;
[0015] FIG. 4 is a perspective view of the apparatus of FIG. 1 with front, top and side
panels removed;
[0016] FIG. 5 is a partially exploded view of the apparatus of FIG. 1;
[0017] FIG. 6 is a perspective view of a light drawer with a socket panel open;
[0018] FIG. 6A is an exploded view of the light drawer of FIG. 6.
[0019] FIG. 7 is a perspective view of a fluid container carrying tray;
[0020] FIG. 8 is a perspective view of the fluid carrying drawer with tray removed;
[0021] FIG. 8A is a partial side view of the drawer tilt knob and assembly of the fluid
carrying drawer;
[0022] Fig. 8B is a modified partial side view of the drawer tilt knob and assembly of the
fluid carrying drawer;
[0023] FIG. 9 is another perspective view, from the underside, of the fluid carrying drawer
without the fluid container carrying tray;
[0024] FIG. 10 is a front view of the fluid carrying drawer with fluid carrying tray removed
showing side-to-side oscillation of the tray;
[0025] FIG. 11 is a perspective view of a container marker assembly;
[0026] FIG. 11A is another perspective view, from the underside, of the container marker
assembly;
[0027] FIG. 12 is an enlarged perspective view of an individual marking unit of the container
marker assembly;
[0028] FIG. 13 is a perspective view of stacked apparatus embodying the present invention;
[0029] FIG. 14 is a block diagram of one embodiment of a control system for the apparatus
of the present invention;
[0030] FIG. 14A is a perspective view of a light sensing device which may be used with the
apparatus of FIG. 1;
[0031] FIG. 15 is a plan view of a disposable fluid processing set
[0032] FIG. 16 is a plan view of another disposable fluid processing set
[0033] FIG. 17 is a plan view of a disposable fluid processing set in position for attachment
with containers of a collected biological fluid;
[0034] FIG. 18 is a perspective view of a part of the disposable fluid processing set that
includes at least one container disposed within a holder;
[0035] FIG. 18A is a perspective view of an alternative embodiment of the holder in a closed
position with containers disposed therein;
[0036] FIG. 18B is a perspective view of the holder of Fig. 18A in an open position but
without container(s);
[0037] FIG. 18C is a perspective view of another alternative embodiment of a holder in an
open position;
[0038] FIG. 18D is a perspective view of another alternative embodiment of a holder with
the frame portions separated;
[0039] FIG. 19 is a flow chart showing the start-up phase of the control system for the
present invention;
[0040] FIG. 20A is a flow chart showing the pretreatment phase of the control system for
the present invention;
[0041] FIG. 20B is a continuation of the flow chart of FIG. 20A;
[0042] FIG. 21 is a flow chart showing the treatment phase of the control system for the
present invention;
[0043] FIG. 21A is a flow chart showing the steps employed to measure the illumination intensity
during the treatment phase of the apparatus of the present invention;
[0044] FIG. 21B is a flow chart showing the steps employed in calibrating the apparatus
of the present invention to measure the illumination intensity in accordance with
the present invention;
[0045] FIG. 22 is a flow chart showing the operator initiated instrument settings functions
of the control system for the present invention;
[0046] FIG. 23 is a flow chart showing the diagnostic functions of the control system for
the present invention;
[0047] FIG. 24 is a rear perspective view of one embodiment of the fluid-carrying drawer,
fluid container carrying tray and an alternative embodiment of the agitation assembly;
[0048] FIG. 25 is a top view of the motor for moving the fluid-carrying drawer;
[0049] FIG. 26 is an exploded view of the drawer sub-assembly and fluid-carrying tray;
[0050] FIG. 27 is a perspective view of the fluid carrying drawer with the fluid carrying
tray placed therein;
[0051] FIG. 28 is a perspective view from the underside, of the fluid carrying drawer without
the fluid carrying tray;
[0052] FIG. 29 is a perspective view of an radiometer
[0053] FIG. 30 is a cross-sectional view, taken along section line 30-30 of the radiometer
shown in FIG. 29;
[0054] FIG. 31 is an exploded view of the radiometer of FIG. 29;
[0055] FIG. 32 is a perspective view of the radiometer positioned within a compartment of
the fluid container carrying tray;
[0056] FIG. 33 is a block diagram showing the preferred interconnections and relationships
between the printed circuit boards that contain the electronic circuitry for the control
systemic ;
[0057] FIG. 34 is a diagram of the lamps and the light sensing circuitry for the light sensing
system of the present invention; and
[0058] FIG. 35 is an electrical schematic diagram of the light sensing circuitry.
DETAILED DESCRIPTION
[0059] For purposes of illustration, the various aspects of the present invention will be
described, in large part, in connection with their preferred embodiments. However,
it should be recognized that the apparatus, systems and methods embodying the different
aspects of the present invention are not limited to the specific details described
herein.
[0060] An apparatus for treating a biological fluid is generally shown in Figs. 1-14 and
is referred to herein generally as light box 10. Light box 10 may be used for treating
a variety of materials for a variety of purposes.
[0061] Light box 10 is particularly useful in the treatment of biological fluids. As used
herein, biological fluid refers to any fluid that is found in or that may be introduced
into the body including, but not limited to, blood and blood products. As used herein
"blood product" refers to whole blood or a component of whole blood such as red blood
cells, white blood cells, platelets, plasma or a combination of one or more of such
components that have been separated from whole blood.
[0062] One specific, non-limiting use of light box 10 is in the treatment of a blood product
that has been combined with a photochemical agent for activation when subjected to
light. Such photochemical agents are used, for example, in the inactivation of viruses,
bacteria, white blood cells and other contaminants (collectively referred to herein
as "pathogens"). In pathogen inactivation applications, the activated agent inactivates
pathogens that may be present in a blood product.
[0063] Typically, the biological fluid to be treated is introduced into a fluid treatment
chamber within light box 10 in flexible, plastic, sterilizable, translucent, biologically
compatible containers. In accordance with aspects of the present invention, the containers
may be integrally connected to other containers and plastic tubing useful in the processing
of the biological fluid both before and after the treatment provided by light box
10. Examples of the disposable processing set and its components are shown in Figs.
15-18. The light box, the disposable processing set and the methods of using them
are described in more detail below.
a. Light Box
[0064] As shown in Fig. 1, light box 10 includes a housing 12 defined by top panel 14, bottom
panel 16, front and rear panels 17, and side panels 18. Housing 12 is supported by
feet 13 attached to bottom panel 16 (Fig. 4). In a preferred embodiment, feet 13 are
rubber or other elastomeric mounts. Side panels 18 may include handles 22 for grasping
and transporting light box 10. An openable or removable door 24 in side panel 18 allows
for access to the interior of light box 10 and, more specifically, the electronic
components of light box 10, which are described in more detail below. Door 24 may
be opened or removed by turning fasteners 25.
[0065] For convenience and efficiency, it is preferred that light box 10 be fairly compact.
In one, non-limiting example, light box 10 may be approximately 100-120 cm wide, 20-100
cm deep and between approximately 30-40 cm high. A compact instrument allows, for
example, for placement of a greater number of instruments per treatment center and/or
may allow two or more instruments to be stacked on top of each other (as shown in
Fig. 13), resulting in greater throughput of biological fluid per horizontal area
or space (i.e. bench space, shelf space or the like).
[0066] Light box 10 may include a control module 26 and a fluid treatment module 28. As
described in more detail below, control module 26 may include and/or house the command
and control elements for the treatment of biological fluid. Fluid treatment module
28 houses the elements and components where fluid processing takes place.
[0067] Control module 26 and fluid treatment module 28 may be contained in the same housing
but in a preferred embodiment, as shown in Fig. 2, they are readily separable modules.
Control module 26 and fluid treatment module 28 are electrically and physically connected
when light box 10 is in use, but may be separated as shown in Fig. 2. In one embodiment,
control module 26 and fluid treatment module 28 are held together, in part, by a draw
pin 30 (Fig. 4), which holds together interfitting parts of the modules. Alternatively,
modules 26 and 28 may be held together by captive fasteners 31 (also shown in FIG.
4) with or without draw pin 30. Control module 26 and fluid treatment module 28 may
be separated by removing draw pin 30 and/or turning of fasteners 31 shown in Fig.
4. Fasteners 31 may be accessed by removing door 24 (shown in Fig. 1) in side panel
18. Of course, other means of connecting and readily separating control and fluid
treatment modules may be used, including, mating clips and slots on the facing panels
of the control 26 and fluid treatment module 28.
[0068] Providing light box 10 in two readily separable modules 26 and 28 allows for easier
access to the control and fluid treatment modules 26 and 28 and, generally, provides
for easier serviceability of light box 10. For example, if off-site service is required
for control module 26 only, that module can be removed without requiring removal and
transport of the entire light box 10.
[0069] As shown in Figs. 1 and 2, the exterior of control module 26 includes a control panel
32 located in the front of light box 10. Control panel 32 includes, a display screen
37 such as, but not limited to, an LCD display for providing graphical, textual and
alphanumerical information to the operator regarding the treatment process. Also included
within control panel 32 of control module 26 is a key pad 39 to allow operator control
over the process and/or for data entry by the operator. A different keypad 39a is
shown in Fig. 29, which is a four-by-four matrix with 10 numerical digits and the
* and # functions, such as the keypads typically provided on telephones. Additional
means of data entry are provided by bar code reader scanner 41 which, when not in
use, rests in slot 43 or a scanner holder. A trough 45 may be provided for the coiled
cable of bar code reader 41. Alternatively, coiled cable of bar code reader/scanner
41 may be routed through the rear of scanner holder 43. Control panel may also include
the on/off switch 35 for light box 10.
[0070] The interior components of control module 26 are generally shown in Fig. 4. Control
module 26 will typically include a programmable microprocessor for operation of light
box 10 including central processing unit 27 and memory devices such as random access
memory (RAM) and EPROMS for the system program storage and non-volatile memory for
back-up data storage. Control module 26 may further include an isolation transformer
29 for converting an AC input voltage to a DC control system voltage and for maintaining
leakage current within acceptable limits for medical devices. Other components within
control module 26 may include power supply 167, input/output board 33 and a power
inlet module 34, filtered pass through 34b for use with an external light intensity
sensing device and filtered output pass through 34a.
[0071] Control module 26 may be adapted for connection to external components such as a
printer 500 (Fig. 14) through parallel and/or serial ports 612, 613 and/or 616 (Fig.
33) (such as to a label printer through a serial port), or to a computer printed circuit
board (PCB) 602 or, for example, to an Ethernet port 621. Computer PCB 602 can receive
data from the several instruments, allowing the operator at a treatment center to
retrieve information regarding the several procedures. As will be appreciated by one
of ordinary skill, control module 26 may also include other components such as additional
printed circuit boards shown in Fig. 33. While Fig. 14 illustrates one embodiment
of an electronic control system to light box 10, the preferred embodiment is illustrated
in Figs. 33-35, which are discussed in detail below.
[0072] Turning now to the fluid treatment module 28, as shown in Figs. 1-3, fluid treatment
module 28 includes front door 36 which when opened, allows for introduction and removal
of the biological fluid into a fluid treatment chamber, as described in more detail
below. The front panel 17 of fluid treatment module 28 may also be opened to allow
for fuller access to the interior of fluid treatment module. As shown in Fig. 3, panel
17 may include fasteners 17a and ball detents which, when turned, allow front panel
17 to be opened or removed.
[0073] Figs. 4 and 5 generally show the interior of fluid treatment module 28 with at least
top panel 14 and front panel 17 removed. As best seen in Fig. 5, fluid treatment module
28 includes an interior framework 38 that defines, in part, a fluid treatment chamber
40 and light chambers 42 and 44 for housing light sources (described in more detail
below). The framework 38 may typically be constructed of any sturdy material which
will allow light box 10 to support one or more additional light boxes as generally
shown in Fig. 13. A preferred material is aluminum and, in particular, Aluminum 6061
hardened to T-6 or Aluminum 5052/H32.
[0074] Returning to Fig. 5, the light chambers 42 and 44 are located above and below fluid
treatment chamber 40 to provide two-sided illumination of the biological fluid. Of
course, it will be appreciated that light box 10 may include a single light chamber,
placed in close proximity to fluid treatment chamber or two or more light chambers
disposed around a fluid treatment chamber in other than "top and bottom" positions.
[0075] As shown in Figs. 3 through 5, fluid treatment chamber 40 is adapted to receive fluid
carrying drawer 50. Light chambers 42 and 44 are adapted to receive light drawers
60 and 70. Fluid treatment module 28 may, optionally, further include a container
marker assembly 74 shown, for example, in Fig. 5. Marker assembly 74 may carry one
or more markers 76a-76d for marking containers, before and/or after treatment, as
will be discussed in more detail below.
[0076] Turning more specifically to a description of fluid carrying drawer 50, as shown
in Fig. 13, fluid carrying drawer 50 allows for introduction of biological fluid into
fluid treatment chamber 40. Fluid carrying drawer 50 may be moveable, either manually
or automatically, into and out of fluid treatment chamber 40. Where manual movement
of fluid carrying drawer 50 is required, drawer 40 may include handle 80. In one embodiment,
movement of fluid carrying drawer 50 is facilitated by slides 82 on either or both
sides of drawer 50, which are disposed within rails 86 of framework 38, as best seen
in Figs. 8, 9 and 13. Alternatively, fluid carrying drawer 50 may include rollers
or other devices that allow for movement of drawer 50 into and out of fluid treatment
chamber 40.
[0077] For ease of loading and unloading containers of biological fluid, fluid carrying
drawer 50 preferably includes a pivot mount that permits the drawer to be tilted downwardly
when fully withdrawn. The ability to tilt drawer 50 downwardly may be particularly
useful for loading containers of fluid in the upper light boxes where two or more
light boxes are stacked on top of each other, as shown in Fig. 13. In one embodiment,
fluid carrying drawer 50 may be hingedly attached to framework 38 so that when fluid
carrying drawer 50 is fully opened and is outside of housing 12, front edge of drawer
50 may be tilted downwardly at, for example, a 20-45° angle, and preferably a 30°
angle.
[0078] To allow tilting of fluid carrying drawer, light box 10 may include spring loaded
tilt knob 83 which, when pulled, releases fluid carrying drawer 50 and allows it to
be tilted in the manner described above. More specifically, as shown in Fig. 8A, tilt
knob 83 is connected to rod 82a which is attached to slide 82 (Fig. 9). The end of
rod 82a is coupled to pivot member 83a, which is connected to ring 83b attached to
drawer 50. Rod 82a further includes a spring 82c and spring stops 82d. When the end
of rod 82a is coupled to pivot member 83a, movement of ring 83b is prevented (as shown
in Fig. 8A). However, when knob 83 is pulled, (as shown in Fig. 8B) rod 82a is uncoupled
from pivot member 83a, allowing ring to rotate relative to pivot member 83a and, thereby,
allowing drawer 50 to be tilted downwardly, as shown in Fig. 13.
[0079] Alternatively, light box 10 and more specifically, fluid-carrying drawer 50, may
include release button 300 which, when pressed, allows drawer 50 to be downwardly
tilted in the manner shown in Figs. 26-28. As shown in Figs. 27-28, button 300 actuates
rod 302, which is attached to bell crank 304. As rod 302 is moved forward, bell crank
304 pivots around cylinder 306. The pivoting of bell crank 304 pulls rod 308, thereby
disengaging latch pawl 310 from its fixed position on the internal framework of light
box 10 (not shown). With latch pawl 310 disengaged, fluid-carrying drawer 50 may be
tilted downwardly for ease of loading of the biological fluid containers as generally
shown in Fig. 13.
[0080] Returning to Figs. 8-9, fluid carrying drawer 50 is generally open and includes a
central cavity 88 to allow for placement of a container-carrying tray 90 shown in
Fig. 7. Container carrying tray 90 may be integral with fluid carrying drawer 50,
although, a removable non-integrated tray 90 may be preferable for easier container
loading and/or tray cleaning.
[0081] During treatment of the biological fluid, it may be desirable that the fluid within
fluid carrying drawer 50 be continuously or periodically agitated to provide mixing
of the biological fluid and ensure that substantially all of the biological fluid
is sufficiently and uniformly exposed to light and/or any photochemical agent. Accordingly,
fluid carrying drawer 50 may be attached to means for agitating the biological fluid.
[0082] As shown in Figs. 9 and 10, fluid carrying drawer 50 may include an agitation assembly
that, for example, provides side-to side oscillation of tray 90. Agitation assembly
may include a pair of fixed lower rails 95b that extend front to back within light
chamber. Upper rails 95a are attached to the lower rails by pivotally attached link
arms 93a and 93b. The link arms allow side-to-side motion of the upper rails 95a.
To provide oscillation, an electrical motor 92 is attached to lower rail 95b. Motor
92 rotates a cam 97a. Cam 97a may be an L-shaped crank or bracket attached to roller
97. Roller 97 is captured between parallel walls 97b depending from upper rail 95a.
As crank 97a causes roller 97 to orbit around the motor 92 axis, roller slides fore
and aft and up and down between walls 97b, imparting side-to-side motion of upper
rail 95a.
[0083] Alternatively, as shown in Fig. 24, the agitation assembly may include I-shaped legs
320. As shown in Fig. 24, the bottom flared portions of legs 320 are affixed to lower
rods 322 which are, in turn, affixed to the floor of the fluid treatment module 26.
The top flared portions of legs 320 are fixed to plate 324, which receives fluid-carrying
drawer 50 (and tray 90), as shown in Fig. 24.
[0084] Yoke 326 is fixed to and depends from one side of plate 324. Yoke 326 includes a
gap 328 that receives roller 330 of motor 334. As shown in Fig. 25, motor 334 includes
a central shaft 336, which receives a cam 338. Cam 338 may be an L-shaped crank or
bracket. Shaft 340 of cam 338 receives roller 330. As shown in Fig. 25, roller 330
is offset from shaft 336 by a predetermined distance.
[0085] As will be appreciated by those of skill in the art, rotation of cam 338 causes an
eccentric motion and movement of roller 330. Specifically, roller 330 slides fore
and aft and up and down and moves yoke 326 accordingly, resulting in side-to-side
movement of fluid-carrying tray 90.
[0086] In one embodiment, roller 330 is offset from shaft 336 by a distance of anywhere
between 0.5 and 1 inch and, more preferably, 0.75 inches. This results in a total
displacement of fluid-carrying tray 90 of approximately 1.5 inches.
[0087] Light box 10 may include one or more light sources, preferably disposed above and
below fluid treatment chamber 50. For ease of serviceability, such as lamp replacement,
it is preferable that the light source(s) be readily accessible. As used herein, "readily
accessible" means that access to the light source can be quickly and easily had without
the use of, for example, a screwdriver or other tools. For example, in one embodiment,
it may be desirable that the light source be either partially or completely removable
from the housing 12 and/or fluid treatment module 28. The light source(s) may be accessible
through any one of the front, side, top or bottom panels. In one embodiment, the light
sources are housed in light drawers 60 and 70. As shown in Fig. 5, when front panel
17 and/or door 36 are removed or opened, light drawers may be moveable (or even completely
removable) into and out of fluid treatment module 28. Light drawers 60 and 70 may
include slides 99 (Fig. 6) attached to the bottom surface of drawers 60 and 70. Slides
99 rest and move on brackets 96 and slide mounting blocks 98 of framework 38 as shown
in Fig. 5. Light drawers 60 and 70 may also include handles 84 for grasping during
insertion and removal.
[0088] As shown in Figs. 6, light drawer 60 and/or 70 may be divided into two or more chambers
101 and 103 separated by dividing wall 102. Dividing wall 102 minimizes light from
one light chamber of radiating into the other light chamber. This ensures that the
light emitted from each lamp or lamp array and contacting the biological fluid is
substantially constant. In addition, each of the lamp arrays within light chambers
101 and 103 may be independently monitored and controlled from control module 26.
Thus, when one array of lamps is turned off, the other array of lamps may remain on.
As described in more detail below, this may be particularly useful where two or more
containers of biological fluid requiring different levels of treatment are being treated.
[0089] Each of light chambers 101 and 103 of light drawer 60 or 70 is generally defined
by four sidewalls 105 a-d and a bottom wall 107. Walls 105 a-d and 107 may be made
of or coated with a reflective material to maximize the amount of light delivered
to the biological fluid. In one specific embodiment, where the light source provides
light in the ultraviolet A (UVA) range, walls 105 a-d and 107 may be made of a highly
reflective aluminum to provide substantial reflection of UVA light. Such a material
is sold under the name 1500 G-2 and is available from ALANOD of Ennepetal, Germany.
[0090] The light sources suitable for use in the present invention may include any light
source that is capable of providing light of a particular wavelength and intensity
for treating a particular biological fluid. For example, light sources capable of
providing white light, red light, infrared, ultraviolet A and/or B light may be used.
Light drawers 60 and 70 may include a single lamp or an array of multiple lamps 100.
In one embodiment, light source may include standard fluorescent lamps or bulbs capable
of providing light of a wavelength in the UVA (ultraviolet A) range. Such lamps may
be obtained from Sanko Denki of Japan under the product code BL352. Light drawers
60 and 70 may further, optionally, include fans 109 for cooling lamps 100 and, more
specifically, ends of lamps 100 at or near the lamp filaments.
[0091] As shown in Fig. 6, the ends of lamps 100 are inserted into sockets 104 housed on
socket panel 106. Socket panel may also serve as a printed circuit board. Socket panel
106 may be hinged and openable to allow for easy access to lamps 100, easy insertion
and removal of lamps 100, and in general, easier serviceability of light drawers 60
and 70.
[0092] As shown in Fig. 5, a portion of fluid treatment chamber 40 and, for that matter,
fluid carrying drawer 50, are separated from light drawers 60 and 70 by glass plates
110. As shown in Fig. 5, upper glass plate 110 rests on framework 38 and is, generally,
held in place by clamps 112 and 114. A lower glass plate 110 separating a portion
of fluid carrying drawer 50 from lower light drawer 70 may also be included. Glass
plates 110 are substantially translucent to light of the wavelengths used for the
treatment of biological fluid. Preferably, glass plates 110 may also filter unwanted
light. Alternatively, a separate filter may be provided for placement between the
light source and the fluid treatment chamber 40. In one specific embodiment, where
treatment of a biological fluid with UVA light is desired, glass plate 110 may be
substantially translucent to ultraviolet light within the range to 320-400 nm, but
not translucent to light of a wavelength of less than about 320 nm. Such glass plates
are commercially available from Schott Glass of Yonkers, New York under the product
designation B-270.
[0093] As set forth above, fluid treatment module 28 may optionally further include marker
assembly 74. Marker assembly 74 may include one or more markers 76a-76d for marking
containers within fluid treatment chamber. One or more markers 76 may be provided
to mark containers at different stages of the treatment. Markers 76a-d may be punches
for punching holes into a portion of the container such as the container flap as described
in
U.S. Patent No. 5,557,098 . Alternatively, and more preferably, markers may be stampers for stamping designated
portions of a container with ink. Such markers are commercially available from Trodat
of Wels, Austria under the product name Printy 4911.
[0094] As shown in Fig. 11, marker assembly 74 may include a plurality of markers 76 a-d
for marking a plurality of containers during different stages of the light treatment.
Markers 76 a-d may be attached to a bracket 78, which includes a slide 114. Slide
114 is suspended from and movable within track 116 which is attached to the interior
framework 38 of light box 10. Thus the entire assembly 74 can be withdrawn from fluid
treatment module 28 for reinking, replacement of markers 76 or for general servicing
as shown in Fig. 5.
[0095] As shown in Fig. 12, each individual marker unit includes a marker drive motor 120
that moves markers 76 up and down through gear 122, gear 124, lead screw 128, lead
nut 126, bracket 130 and spring 132. Movement of gears 122 and 124 actuates movement
of lead screw 128 and causes downward and/or upward movement of lead nut 126, bracket
130 and consequently marker 76.
[0096] Fluid treatment module 28 includes blower 134 which provides air flow into fluid
treatment chamber 40 and fluid containers and thus, provides for temperature control
of fluid treatment chamber 40 (Fig. 5). Blower 134 receives ambient air through an
opening in bottom wall 16 located below blower 134. Blower 134 may be provided with
a filter to prevent dust from entering fluid treatment module 26. In addition to providing
air to fluid treatment chamber 50, air from blower 134 may also pass through opening
136 of fluid treatment module 28 and a perforation or opening 136a in control module
26, as seen, for example in Figs. 2 and 4. In addition, fluid treatment module 26
may be provided with an air flow sensor for monitoring air movement. As shown in Fig.
5, sensor 135 may be located at blower 134 or in close proximity thereto in fluid
treatment module 26. A temperature sensor 135 disposed in light box 10 senses the
ambient temperature. Thus, if the ambient temperature rises above a predetermined
threshold temperature, such as may occur if blower 134 fails, the treatment procedure
will be terminated and the container of biological fluids will be marked or identified
as unusable.
[0097] Returning to the fluid treatment module 28 and more specifically fluid carrying drawer
50, as shown in Figs. 5 and 13, fluid carrying drawer 50 may include a tray 90 for
holding one or more containers of biological fluid. Tray 90, shown in Fig. 7, may
be placed within the cavity 88 of the fluid carrying drawer 50 (Fig. 8). In one embodiment,
tray 90 may be made of a molded plastic material. Where the biological fluid is treated
from two sides, the molded plastic material should be sufficiently translucent to
the light provided by the lamps 100. Suitable materials for tray 90 include acrylic
polymers such as polymethyl methacrylate (PMMA) or members of the polyolefin family
such as methylpentene copolymer. Such materials are available from many sources including
CYRO Industries of Rockaway, New Jersey under the product name ACRYLITE
® OP4 or from Mitsui Plastics of White Plains, New York under the name TPX.
[0098] Where one or more containers are to be treated, tray 90 may be divided into a first
portion 180 and a second portion 182 separated by dividing wall 184. As shown in Fig.
27, at least a portion of dividing wall 184 may be made of or covered with a reflective
material of the type described above. In a preferred embodiment, the portion of dividing
wall that separates first compartments 188 (described below) is reflective. A reflective
divider provides improved and more uniform distribution of light to the fluid containers.
As shown in Fig. 7, tray 90 may include retaining tabs 186 for placing a slit or other
aperture of a biological fluid container 206 over tab 186 to limit movement of the
container within tray 90 and ensure that the container is substantially within the
field of light provided by the light source. The volume of tray 90 should be sufficient
to hold at least the entire volume of biological fluid contained within the containers
so as to minimize the risk that, in the event of container leakage, liquid will overflow
and contact the electrical and mechanical components of light box 10, even during
agitation.
[0099] Where the biological container is part of an integrated fluid processing set, tray
90 may be compartmentalized to provide separate compartments for the container undergoing
treatment on the one hand, and the remainder or a portion of the remainder of the
disposable processing set, on the other hand. As shown for example, in Fig. 7, first
portion 180 and second portion 182 each include a first compartment 188 and second
compartment 190 separated by discontinuous wall 192. First compartment 188 may hold
a container of biological fluid 206 and the second compartment may hold the remaining
components of the fluid processing set. A slot in the wall 192 accommodates the tubing
that connects container 206 with the remainder of the disposable processing set. The
slot may also assist in limiting movement of container 206 within tray 90. Tray 90
or second compartment 190 of tray may further include container retaining tabs or
pegs 193 to hold in place the containers in the second compartment and/or limit movement
of such containers within tray 90. Alternatively, pegs 193 may be located on drawer
50, as shown in Fig. 26.
[0100] When the tray 90 with disposable processing set is introduced into fluid treatment
chamber 50, container 206 within a first compartment 188 is positioned substantially
within the field of light provided by the light source. The remainder of the disposable
processing set and/or containers within a second compartment 190 are outside the field
light, preferably held in place by tray cover 380, described below. In the embodiment
where marker assembly 74 is provided, containers within second compartment 190 are
aligned substantially with marker assembly 74 as shown in Figs. 4 and 5. Thus, the
status of the treatment may be indicated on the other containers of the processing
set within the second compartment 190 by markers 76 a-d.
[0101] In an embodiment where the light box does not include a marker assembly, drawer 50
may include a cover 380 of the type shown in Figs. 26-28. Cover 380 holds in place
containers within second compartment 190. As shown in Fig. 28, cover 380 may be hingedly
attached to drawer 50 and flipped over compartments 190 prior to the illumination
process.
[0102] As shown in Fig. 28, cover 380 may include latch 382 for securing cover 380 to dividing
wall 184 of tray 90. Cover 380 may also include a plurality of apertures 384 aligned
with bag placement sensors (described below). Cover 380 can be made of any suitable
material which is not translucent to light from light sources. Preferably, cover 380
is made of aluminum.
[0103] Light box 10 may include sensors for detecting different conditions during the pretreatment
and treatment processes. The sensors relay signals to the microprocessor of the light
box 10 that is housed within control module 26. As shown for example in Fig. 14, sensors
(e.g., 404, 430) send signals through the sensor input/output board 33 which translates
the signal into a format that is understandable by microprocessor 160. The computer
alerts the operator, either by an audible alarm or a message on the display screen
37. The operator may, in response to the alarm or message, take action through keypad
39. Alternatively, in response to certain alarm conditions, the control system may
be preprogrammed to automatically take action, such as a terminate treatment, if necessary.
[0104] For example, light box 10 may include internal light intensity sensors 404 for measuring
the intensity of light provided by the lamps 100 to fluid treatment chamber 50. In
the event that the light intensity provided by lamps 100 is insufficient for the desired
treatment, sensors 404 send signals through input/output board 33 (Fig. 14) to microprocessor
160 as described above.
[0105] In one embodiment, light intensity sensors 404 may be located within the light chambers
101 and 103 of light drawers 60 and 70 (Fig. 6). In one embodiment, light drawer 60
and/or 70 include a light intensity sensor subassembly 402 on the underside of drawer
60 and/or 70. As shown in Fig. 6a, subassembly 402 includes two or more sensors 404
attached thereon and placed within sensor windows 406 located in the bottom wall 107
of drawers 60 and/or 70. Sensor windows 406 allow light from lamps 100 to pass through
and contact sensors 404. Sensors 404 may include or be used with one or more filters
to filter out unwanted light. More specifically, where light box 10 is used to activate
a photochemical agent, it may be desirable that the filters used in association with
sensors 404 have a maximum sensitivity in the wavelength range that substantially
matches the wavelength range within which the particular photochemical agent is most
effectively activated (i.e., the "action curve"). This allows sensors 404 to detect
the effectiveness of photochemical activation. Sensors 404 are available, for example,
from Micropac Industries, Inc. of Garland, TX under part number 61120. Filters are
available from a variety of sources such as Schott Technical Glass of Duryea, Pennsylvania.
[0106] A fluid carrying drawer sensor 144 may be included for monitoring the position of
fluid carrying drawer within fluid treatment chamber 40. Fluid carrying drawer positioning
sensor 144 ensures that the drawer 50 is in a fully closed position and therefore,
that containers of biological fluid are substantially within the field of light provided
by lamps 100. If the drawer is not in a fully closed position, sensor 144 sends a
signal to the microprocessor, alerting the operator and preventing treatment from
proceeding.
[0107] Light box 10 may, optionally, further include temperature sensors 145 for either
directly or indirectly monitoring and measuring the temperature within fluid treatment
chamber 40. Temperature sensor may be disposed within the fluid treatment chamber
40 or, as shown in Figs. 4 and 5, may be disposed on the exterior of light box 10
to measure the ambient temperature of the outside environment. For example, ambient
temperature sensor 145 may be located anywhere on the surface of light box 10. In
one embodiment, as shown in Figs. 1 and 2, ambient temperature sensor 145 is placed
at or near control module 26. Ambient temperature sensor 145 provides an indication
of the air temperature being delivered to fluid treatment chamber by blower 134. In
the event that the temperature falls outside of a predetermined temperature range,
the ambient temperature sensor sends a signal to the microprocessor as generally described
above, which alerts the operator that the temperature is approaching or has exceeded
its limit. Accordingly, the operator and/or instrument may take further action.
[0108] Additional sensors may be provided, including a sensor for monitoring the agitation
provided by the agitation assembly. In an embodiment of light box 10 that includes
marker sub-assembly 74, sensor 430 may be attached to marker subassembly 74, as shown
in Fig. 11A, and measures movement of the agitation assembly described above. In an
embodiment where light box 10 does not include marker sub-assembly 74, sensor 430
may be attached to marker subassembly 74. In one embodiment, sensor 430 may include
an infrared source such as, but not limited to a light emitting diode (LED) or laser
that contacts a selected reflective portion of the agitation assembly. If sensor 430
does not detect reflection or does not detect reflection at the predetermined frequency,
it signals the microprocessor accordingly.
[0109] A preferred embodiment of a motion sensor arrangement for the agitator system is
illustrated in Fig. 27. This agitator motion sensor includes a light emitter 386,
such as a lamp, a light emitting diode, a laser diode, or the like, disposed on one
side of tray 90. An aperture 388 is defined through one edge of cover 380 and a light
detector 385, such as a photo-diode, photo-transistor, photo-multiplier tube, or the
like, is disposed on the opposite side of cover 380 from the light emitter 386. When
aperture 388 is in alignment with light emitter 386 and with light detector 385, a
brief electronic pulse will be generated by light detector 385 when light is transmitted
through aperture 388 to light detector 385. Based upon the rate of pulses, the speed
of agitation can be determined or confirmed. Also, if no pulses are received, it can
be assumed that the agitator system is not in motion.
[0110] Light box 10 may also include a sensor 440 to detect whether the front door of the
light box is closed during treatment. Door sensor may be a magnetic switch that detects
contact between door 36 and magnetic plate 441 shown in Fig. 3. Also, plunger switch
36a (Fig. 4) is pressed when door 36 is closed. If door 36 is open, plunger switch
36a serves as an electrical cut off. If, the door is open, the system will not permit
the treatment to proceed. Alternatively, light box 10 may include a door lock 388.
Door lock 388 may include a solenoid that establishes contact with a pin on door 36
and ensures that door 36 remains locked during treatment.
[0111] Light box 10 may also include sensors 450 for determining whether containers are
in position for marking by markers 76. In the embodiment wherein light box 10 includes
marker sub-assembly 74, shown in Fig. 11A, sensors 450 may be attached to markers
76 and may include optical receivers aligned with light emitting diodes (LED) (not
shown) typically located below fluid carrying tray 90. The labels of containers placed
within the second compartment 190 of tray 90 or a holder or organizer used to hold
together containers in compartment 190, prevent optical receiver 450 from receiving
the LED signal, indicating the presence of a container. Conversely, if sensor 450
receives the signal, this indicates that no container is present and the marker will
not be activated. In addition, each marker 76a-d may include a microswitch (shown
as 470 in Fig. 14) to detect whether movement of the marker has occurred and to prevent
mechanical failure or damage to the parts that make up the marker.
[0112] Returning to Fig. 27, in an embodiment where light box 10 does not include marker
sub-assembly 74, a pair of light emitters 383 and 384 may be disposed on one side
of an edge of cover 380. A pair of light detectors 381 and 382 may be disposed on
an opposite side of the edge of cover 380. A pair of apertures 387 and 389 is defined
through the edge of tray 90. When a container is present, light from light emitters
383 and 384 is obstructed from passing through apertures 387 and 388 to light detectors
381 and 382. However, when no container is present, light will pass through one or
both of apertures 387 and 389, and corresponding light detectors 381 and/or 382 will
generate a signal. Any such signals indicate that no container is present and the
instrument will either alert the operator and/or terminate further processing.
[0113] The electronic circuitry, generally designated 600, for controlling light box 10
is illustrated in block diagram format in Fig. 33. A computer printed circuit board
(PCB) 602 preferably includes a 486DX4 compatible central processing unit (CPU), or
microprocessor, 603 typically operating at 100 MHz, or more, to provide, and to service,
a multiplicity of functions. A DRAM module 604 provides memory for CPU 603, which
may be, by way of example, about 32 Megabytes. Flash memory may be added to a compact
flash socket 605. Preferably, about 32 Megabytes of flash memory is provided. VGA
BIOS 606 is programmable to support displays on display screen 37 on control panel
32 (Figs 1 and 2). A VGA port 607 provides video information to display screen 37
on control panel 32 via output lines 608. A PC/104 port provides an ISA Bus 610 for
transferring information to and from computer PCB 602.
[0114] Four RS232 compatible ports 612 through 615 provide serial information transfer,
such as from bar code reader 41. One of the RS232 ports is configurable as an RS 485
port, if desired. Port 615 is at the rear panel of the light box 10, and ports 612
and 613 are spares. For example, one of spare ports 612 or 613 may be used for a label
printer. A printer port 618 on computer PCB 602 is brought out to the back panel of
light box 10 as a port 619 for connection to a printer. Similarly, an Ethernet port
620 on computer PCB 602 is provided as an Ethernet port 621 on the back panel. Computer
PCB 602 is preferably an off-the-shelf computer board, such as that commercially available
from Ampro Computers, Inc., San Jose, CA under part number LB3-486e. More information
about this and comparable computer PCBs is available at internet site www.ampro.com
.
[0115] An interface PCB 606 directly or indirectly interfaces computer PCB 602 with most
of the other electrical apparatus, such as lamps, sensors, displays and so forth.
Interface PCB 606 is subdivided into several portions. An LCD portion 624 receives
video and control signals from computer PCB via lines 608 and provides control signals
to a back light inverter (BLI) PCB 626 to control and to supply power for the backlighting
of display panel 37. LCD portion 624 also supplies video and control signals, and
power, via lines 627 to display panel 37. A keypad and LED portion 630 receives inputs
from keypad 39 at the user interface 32, and sends such inputs to computer PCB 602
via ISA bus 610.
[0116] A light sensor portion 634 of interface PCB 606 bi-directionally communicates with
a relay PCB 640 via a plurality of lines 635 to provide control output signals and
to receive sensor input signals. A miscellaneous sensors portion 636 and a relay control
portion 637 bi-directionally communicate with relay PCB 640 via a plurality of lines
638 to provide control output signals and to receive sensor input signals.
[0117] Interface PCB 606 also supplies operating power to the other PCBs. Interface PCB
606 receives +5 Vdc and +12 Vdc at a connector 622 and +24 Vdc at a connector 623,
all from a power supply 167. Relay PCB 640 is supplied with +5 Vdc and +24 Vdc on
certain of lines 638, front panel user interface 37 is supplied with +5 Vdc on one
of lines 627, BLI PCB 626 is supplied with +5 Vdc on one of lines 625 and computer
PCB is supplied with +5 Vdc and +12 Vdc on certain of lines 610, all from interface
PCB 606. In addition, relay PCB 640 directly receives 240 Vac from the power supply
167 at a connector 641 to supply power to the shaker motor 92.
[0118] Relay PCB 640 controls the application of power to upper lamp ballasts 645 and lower
lamp ballasts 646, such as with electronic relays located on relay PCB 640, to supply
operating power to upper lamps 100 and to lower lamps 100 under the influence of control
signals from light sensor interface 634 on interface PCB 606. Light sensor circuitry
shown in Fig. 34 is disposed on upper and lower light sensor PCBs 643 and 644 and
provides signals to relay PCB 640 that are indicative of the intensity of illumination
provided by the upper and lower lamps, respectively. Relay PCB 640 also controls the
application of power to shaker motor 647 and blower fan 648, such as with electronic
relays, in accordance with control signals from relay control interface 637 on interface
PCB 606. Relay PCB 640 routes signals from door solenoid 648 and miscellaneous sensors
649 to miscellaneous sensors interface 636 on interface PCB 606.
[0119] As previously explained, light box 10 has two light chambers 42 and 43 for treating
biological fluids in either or both chambers. Two light arrays consisting of four
lamps 100 are disposed in an upper position and in a lower position in each chamber
for a total of 16 lamps, as seen in Fig. 34. A light sensing system, for sensing the
intensity of the illumination from lamps 100, is generally designated 650. Disposed
adjacently to the upper lamp arrays in chambers 42 and 43 is upper light sensor PCB
643. Lower light sensor PCB 644 is similarly adjacently disposed to lower light arrays.
Light sensors 404 are positioned on upper and lower light sensor PCBs 643 and 644,
respectively, between pairs of lamps 100 such that each sensor monitors the illumination
level of two adjacent lamps. In this respect, each light sensor is preferably located
midway between a pair of monitored lamps 100. Light sensors 404 provide a frequency
output generally in the range of 10Hz to 1MHz depending upon the sensed irradiation
level. In this application, sensors 404 preferably operate near a mid-range, such
as in about the 1 KHz to 100 KHz range, for example.
[0120] Circuitry associated with each upper or lower light sensor PCB 643 or 644, and which
constitutes a portion of light sensing system 650, is shown in greater detail in Fig.
35. The frequency outputs from upper light sensors 404 are sent to a pair of multiplexers
651 and 652. Multiplexer 652 is a secondary or redundant multiplexer that is used
to confirm that data received from multiplexer 651 is accurate. A test circuit 654
consists of an oscillator 655 that has its frequency divided by a divider 656 to provide
three test or reference frequencies on three lines 657, which are provided as inputs
to multiplexers 651 and 652. For example, these test frequencies may be about 230
KHz, 115 KHz and 57.5 KHz. The power supply +5 Vdc is also provided as an input to
multiplexers 651 and 652 to monitor the power supply for any undesired noise that
could interfere with the signals from the light sensors. Three address selection lines
658, including A0, A1 and A2, are used to cause multiplexers 651 or 652 to alternately
sample one of the outputs from the four light sensors, one of the three test frequencies
or the power supply voltage. For example, the sampling periods may be about 15 milliseconds.
These address selection bits on lines 658 are generated by a programmable logic device
(PLD) 680 on interface PCB 606 and supplied to upper light sensor PCB by lines 669
and to lower light sensor PCB by lines 668. Lower light sensors 404, multiplexers
660 and 661 and test circuit 662 on lower light sensor PCB 644 operate similarly to
the corresponding elements described on upper light sensor PCB 643 to provide a second
multiplexed frequency signal.
[0121] The outputs of multiplexers 652 and 660 are routed to a frequency counter 670 on
interface PCB 606 via lines 665 and 664. The outputs of multiplexers 651 and 661 are
routed to frequency counter 671 also on interface PCB 606 via lines 667 and 666. Counters
670 and 671 are commercially available from Intel Corporation, Santa Clara, CA under
part number 8254. PLD 680 selects data from frequency counter 670 by a chip selection
line 681 or from frequency counter 671 by a chip selection line 682. Frequency counters
670 and 671 and PLD 680 share a common data bus 683 for the transfer of data therebetween.
PLD 680 thus receives counts from counters 670 and 671 that represent the frequencies
received by these counters from multiplexers 651, 652, 660 and 661 which, in turn,
represent the illumination levels from all 16 of the lamps 100 in light box 10. PLD
680 provides this lamp illumination data to computer PCB 602 on data busses 687 and
688. PLD 680 essentially acts as a conduit for the count information from counters
670 and 671 to computer PCB 602, provides buffering of these count signals and provides
chip select functions to select counter 670 or 671. Counters 670 and 671 can issue
interrupt requests to PLD 680 on lines 684 and 685, respectively. PLD 680 can also
issue interrupt requests to computer PCB 602 on a line 686 and control signals are
received by PLD 680 from computer PCB 602 on one or more lines 689. PLD 680 is commercially
available, for example, from Altera Corporation of San Jose, CA under part number
EPM7128S.
[0122] Sensor read software 690 enables CPU 603 on computer PCB 602 to read the data sent
from PLD 680 on data busses 687 and 688. Independent illumination software 691 monitors
the data for any malfunction or irregularity. For example, if the illumination data
from any light sensor 404 is below a defined threshold level, one of the lamps 100
may have failed or is providing insufficient illumination. In this instance, a message
will be displayed on display 37 to replace one or more lamps 100.
[0123] Energy measurement software 692 measures the illumination level supplied by lamps
100, as by analyzing the frequency counts from PLD 480, and then essentially integrating
the measured illumination level over time until the predetermined illumination dose
for the biological fluid being treated in light box 10 is reached. Software 692 may
recalculate the light intensities about every second, for example. Frequent recalculations
are preferred because the light intensity from lamps 100 changes with temperature.
Based upon these continuous recalculations of light intensity, energy measurement
software 692 also determines the current illumination dose that the biological fluid
has been subjected to since the initiation of treatment. Software 692 is essentially
integrating the light intensity in real time to determine the current illumination
dose. Software 692 can similarly estimate how much additional time is required, based
upon currently measured light intensities, to reach the desired illumination dose.
Upon reaching the dosage entered by the user at the beginning of treatment, software
692 causes illumination to cease and the user is advised that treatment is completed.
[0124] Software 692 also preferably constantly monitors the count of the test frequencies
657 because these frequencies are known and the count results will confirm the signal
paths and counting accuracy with respect to the frequency signals from light sensors
404. The redundant light sensing channel provided by secondary multiplexers 652 and
661 are also preferably monitored to confirm the accuracy of information received
from primary multiplexers 651 and 660. If the frequency count data received from primary
multiplexers 651 and 660 are not within a certain tolerance with the data received
from secondary multiplexers 652 and 661, an error message will be supplied to the
user, as on display 37. When the predetermined illumination dose is reached, energy
measurement software 692 terminates illumination in light box 10.
[0125] In addition, a portable and attachable light intensity sensing, verification and
calibration device or radiometer 460 may be provided to verify light intensity provided
by light box 10 and for calibration of light box 10. Radiometer 460 may be adapted
for placement within fluid treatment chamber 40 for measuring the energy dose delivered
to the biological fluid. More specifically, radiometer 460 may be adapted for placement
within the fluid container carrying tray 90. In one embodiment, radiometer 460 may
be adapted for placement within a compartment of tray 90 such as first compartment
188 of tray 90.
[0126] As shown in Fig. 14A, radiometer 460 may include a support 465 having a top surface
467 and a bottom surface 468. Support 465 is typically a printed circuit board. One
or more sensors 469 are electrically and physically connected to support 465. Additionally,
as best seen in Fig. 31, support 465 also includes data port 512.
[0127] It is known that a light source may not always uniformly emit light. For example,
depending on the age of the lamp, the intensity of light emitted from one part of
the lamp may not be the same as the intensity emitted from another part of the lamp.
Accordingly, in a preferred embodiment, as shown in Fig. 14A, radiometer 460 may include
a plurality of sensors 469 spaced across the top and/or bottom surface(s) to receive
light from different points on one or more lamps. Also, sensors 469 may be placed
on one side of support 465, but preferably are placed on both the top surface 467
and the bottom surface 468. Top and bottom placement of sensors 469 is particularly
preferred where radiometer 460 is used to measure light provided by two facing light
sources, such as the two arrays of lamps 100 in one of the embodiments of light box
10.
[0128] Radiometer 460 is preferably calibrated with a precision light source in accordance
with NIST standards. As seen in Fig. 29, a bar code 506 may be placed on the edge
of one of the halves 504. Bar code 506 preferably contains information on the identity
of each radiometer, such as a unique identifying number or a serial number. Also preferably
included in bar code 506 are the calibration coefficients determined during the most
recent calibration of radiometer 460 for each of the sensors 469, and an expiration
date by which radiometer 460 will need to be recalibrated. For example, the expiration
date may be one year from the date of the most recent calibration. Thus, reading of
bar code 506 by bar code reader 41 will provide CPU 603 with information on the identity
of radiometer 460, the calibration coefficients associated with that particular radiometer,
and the date by which radiometer 460 needs to be recalibrated.
[0129] Support 465 is preferably housed in cover 501. As shown in Fig. 31, cover 501 may
be made of two halves 503 and 504 that are attached together. Cover 501 may include
a label 506 (Fig. 29) displaying a unique bar code for each radiometer 460. As further
shown in Fig. 31, radiometer also includes intermediate panels or substrates 508 and
510. Cover halves 503 and 504 and substrates 508 and 510 may be made of any hard,
commercially available molded plastic. A preferred material is a terpolymer of acrylonitrile,
butyldiene and styrene (ABS). Slots in cover 501 and substrates 508 and 510 are provided
to accommodate sensors 469.
[0130] A connector cable 516, as shown in Fig. 32, is attached to radiometer 460 for electrical
connection to light box 10 and, for example, to port 461 (Fig. 5). This allows radiometer
460 to transmit data to the computer PCB 602 (Fig. 33) of light box 10, which system
provides information to the operator and/or automatically takes action based on the
transmitted data. Radiometer 460 may also include a slit 472 (Fig. 29) for placement
over tab 186 (Fig. 7) in tray 90 of light box 10.
[0131] Sensors 469 are generally any device that is capable of detecting light of selected
wavelengths. These sensors are preferably robust such that they reproducibly detect
the appropriate wavelengths accurately. In one embodiment, these sensors may comprise
a plurality of optical fibers that absorb the selected wavelengths and channel the
light into an appropriate detector. Such optical fibers can be configured to appropriate
dimensions to represent the dimensions over which the light delivery is to be measured.
An advantage of this configuration is that the optical fibers can cover a large percentage
of the area over which the light delivery is to be measured. In the preferred sensor
embodiment, as represented in Fig. 14A, sensors 469 in radiometer 460 are preferably
the same type of sensor as sensors 404 in light sensing system 650. Of courses, sensors
404 and 469 need to be capable of detecting light of the desired wavelengths. Sensors
469 may also include or be used with filters to filter out unwanted light as substantially
described above.
[0132] When used in connection with light box 10, it is preferred that the dimensions and
geometry of radiometer 460 be substantially equivalent to the dimensions of the fluid-filled
containers used with light box 10. Accordingly, it is preferred that the light sensing
area of radiometer 460 have a height, a width and a thickness substantially equal
to such filled containers. A radiometer with dimensions substantially equal to the
fluid-filled container provides a reliable approximation of the energy being delivered
to the fluid and of the effectiveness of the treatment.
[0133] As set forth above, radiometer 460 may be used for light intensity verification by,
for example, the operator and for calibration of light box 10 generally and more specifically,
of internal light sensors 404. In accordance with the method of using radiometer 460
for light intensity verification, the operator may place radiometer 460 in first compartment
188 of tray 90, as shown in Fig. 32. Connector cable 516 may be pressed into strain
relief tabs 474 within light box 10 (Fig. 8) or, more preferably, thread through slot
390 in drawer 50, as shown in Fig. 32. The fluid carrying drawer 50 is inserted into
fluid treatment chamber 40 and door 36 is closed. Lamps 100 are turned on and the
light delivered is measured by sensors 469 in radiometer 460. Specifically, the light
measured by sensors 469 is processed by the system's microprocessor 603 on computer
PCB 602 to provide a calibrated reading of the energy being provided to the fluid
treatment chamber 40. For example, microprocessor 603 may use the calibrated readings
of the light levels from each sensor 649 of radiometer 460 to calculate a calibration
coefficient for light levels sensed by each sensor 404 on upper and lower light sensor
PCBs 643 and 644. Thereafter, energy measurement software 692 (Fig. 34) associated
with microprocessor 603 can apply these calibration coefficients to the illumination
measurements from light sensors 404 to provide corrected light level measurements
that will approximate those measured by radiometer 640. The flow chart in Fig. 21A
also provides information about the processes of determining the light intensity and
determining the treatment time.
[0134] The operator can monitor the output of lamps 100 and determine any diminishment in
the lamp output by comparing the reading to a pre-set acceptable energy dose range.
In addition, the readings provided by sensors 469 are also compared to the readings
provided by sensors 404 to detect any diminished sensing capability of sensors 404.
The process may be repeated with the other first compartment 188.
[0135] Thus, for example if the energy dose measured by radiometer 460 is substantially
equal to the energy dose detected by sensors 404, but is outside the pre-set dose
range, this may be an indication that the output of lamps 100 has diminished and that
lamps 100 may have to be replaced. Alternatively, if the energy dose as measured by
radiometer 460 is substantially equal to the expected pre-set dose of the instrument,
but both are different from the energy dose as measured by sensors 404, this may be
an indication that sensing capability of sensors 404 has diminished. Finally, if the
dose as measured by sensors 404 is substantially equal to the expected pre-set dose,
but different than the energy dose as measured by radiometer 460, this may indicate
that the sensing capability of radiometer 460 has diminished. Radiometer 460 may also
be used to calibrate light box 10. Radiometer 460 itself may be calibrated against
a standard (e.g. a standard from the National Institute for Standards and Technology
or NIST), or by using an independent calibration system that has been calibrated to
NIST standards.
[0136] Of course, it will be appreciated that radiometer 460 may have utility in other applications
and is not limited to use in the apparatus of the present invention. Indeed, radiometer
460 may be used whenever light is to be measured over an extended surface area or
from opposite directions. Radiometer 460 also has utility where it is desired to average
light intensity measurements over a surface area, including non-planar surfaces. It
will be readily appreciated that radiometer 460 could be configured with complex,
non-planar surfaces, if so desired.
[0137] The components of the fluid treatment module 28 including the agitator assembly,
the light sources, the blower, the marker subassembly are powered by power supplies
in an alternative embodiment of the electronic control system shown in Fig. 14. In
Fig. 14, the letter "n" represents the number of electrical or mechanical components
such as sensors, lamps, ballasts etc.. For example, power supplies (ballasts) 166
power lamps 100 and are controlled by relay board and isolation transformer 29. Shaker
motor 92 is powered through relay board and isolation transformer 29. Additional power
supply 168 supplies power for the blower 134, light drawer fans 109, and drive motors
120 for markers 76a-d and door lock 480. Preferably, the power supply for powering
these components may be approximately 24 volts DC. Power supply for powering shaker
motor may be 230V AC. Power supply 167 may supply +5 and +12 volts DC to, for example,
computer board 160.
[0138] Finally, light box 10 includes a programmable computer software-based control system
600 to control the operation of light box 10 that has already been described with
reference to Figs. 33-35. The control system 600 is further generally and diagrammatically
depicted in Figs. 19-23 and is described in greater detail in connection with the
description of the method of processing and treating a biological fluid which follows
the description of the disposable processing set provided below.
b. Disposable Processing Set
[0139] Disposable processing sets useful with light box 10 are shown in Figs. 15-18. Typically,
the disposable processing set will include two or more plastic containers integrally
connected by plastic tubing. At least one of the containers should be suitable for
holding the biological fluid during light treatment. The other container should be
suitable for storage of the biological fluid after treatment. As described in more
detail below, the disposable processing set may be joined with containers of biological
fluid, and the fluid may be transferred to containers of the disposable processing
set. Further details about these disposable processing sets are described in the U.S.
Patent Application entitled "Fluid Processing Sets and organizers for the Same," bearing
Attorney Docket No, F8-5459CIP, filed October 11, 2002
[0140] One embodiment of a disposable fluid processing set 200 is shown in Fig. 15. Processing
set 200 includes a container 202, a container 206, a container 210 and a container
214. The containers may be integrally interconnected with tubing segments as generally
shown and described in detail below. The sizes and internal volumes of containers
202, 206, 210 and 214 may vary depending on the biological fluid being processed.
In a non-limiting example, container 202 may be capable of holding approximately 5-30
ml of fluid, containers 206 and 210 approximately 1000 ml and container 214 between
approximately 1000-1500 ml. Of course, other desirable sizes and volumes may be used
and are within the scope of the present invention.
[0141] Where the disposable processing set is used in or as part of a pathogen inactivation
treatment, container 202 may include, for example, a photochemical agent which is
mixed with the biological fluid. Examples of such photochemical agents include psoralen
compounds described in
U.S. Patent No. 5,709,991 and compounds from the family of phenothiazine dyes such as, but not limited to,
methylene blue and riboflavin. Container 202 may be made of any material suitable
for holding such photochemical agents. One such material may be a blend of ethylene
polypropylene, polyamide and a block copolymer of ethylene and butylene with terminal
blocks of polystyrene. Containers made of such material are available from Baxter
Healthcare Corporation under the name PL2411. Container 202 includes a tubing segment
203 extending therefrom and having a sealed end 204. A second tubing 205 extending
from container 202 is integrally connected to container 206. In another embodiment,
the photochemical agent may be contained or predisposed within container 206, thereby
eliminating the need for a separate container 202 for holding the photochemical agent.
In still another embodiment, the photochemical agent may be combined with the biological
fluid prior to joinder to the disposable processing set. For example, the photochemical
agent may be included in a container 201 used to hold the biological fluid collected
from a donor (Fig. 17).
[0142] Container 206 is preferably a container suitable for holding the biological fluid
during light treatment. Accordingly, it is desirable that container 206 be made of
a clear, durable, thermoplastic material that is translucent to light of the selected
wavelength and sterilizable by known forms of sterilization including steam sterilization,
gamma and electron beam radiation. For example, where the blood product to be treated
includes blood platelets or blood plasma and the treatment is to be with light in
the UVA range, container is made of a material that is substantially translucent to
UVA light and remains stable after sterilization. Such materials may include polyvinyl
chloride, but more preferably, may be blends of thermoplastic polymers and copolymers,
including general purpose polymers, elastomers and the like. One such material includes
the block copolymer described above which includes a central block of ethylene and
butylene and terminal blocks of polystyrene. Block copolymers of the type described
above are available from the Shell Chemical Company under the name KRATON. The block
copolymer may be blended with other polymers such as ultra low-density polyethylene
(ULDPE) and ethylene vinyl acetate (EVA). Containers made of the blended material
are available from Baxter Healthcare Corporation of Deerfield, Illinois under the
name PL-2410. Other thermoplastic materials may also be suitable for container 206,
including materials including KRATON, EVA, and polypropylene. A container made from
such material is also available from Baxter Healthcare Corporation under the name
PL-732. Still other suitable materials for container 206 include fluoropolymers such
as polytetrafluoroethylene (PTFE), PFA or copolymers including such fluoropolymers.
[0143] Container 206 further includes a slit 207 which, as described above, may be placed
over retaining tab 186 in tray 90. Container 206 includes a tubing segment 208 which
may be integrally connected to a container 210.
[0144] In the pathogen inactivation of biological fluid, container 210 may, for example,
include an adsorbent material 211 for removing excess photochemical agent or the byproducts
of the photoactivation process. The adsorbent material may be contained in a semi-permeable
pouch, preferably affixed to the container walls or portions thereof within the interior
chamber of container 210. The interior chamber of container 210 has a volume sufficient
to hold the biological fluid from container 206. Such a container and the adsorbent
material are disclosed in more detail in copending patent application entitled "Plastic
Containers Having Inner Pouches and Methods for Making Such Containers" which is being
filed simultaneously herewith in the names of Mahmood Mohiuddin, George D. Cimino
and Derek J. Hei . Materials such as those used in the PL-2410 and PL-732 containers
described above are suitable for use in container 210.
[0145] Container 210 may also include a time-sensitive tape 209. Tape 209 changes color
with time, thus informing the operator if the biological fluid has contacted the adsorbent
material for a sufficient period of time. Container 210 may be integrally connected
by tubing segment 211 to another container 214 which may be suitable for storage of
the biological fluid. As shown in Fig. 15, the portion of tubing segment 211 that
communicates with the interior of container 210 may include a filter 211a to capture
loose particles of adsorbent, if any.
[0146] Container 214 may include and/or be capable of receiving a label 216 which may carry
bar codes 222 or other indicia that provide information about the biological fluid.
For example, bar codes 222 may identify the donor, the product, the lot number of
the biological fluid, expiration date and the like. Container 214 may include additional
bar codes or indicia 224 which are used to provide information regarding the status
or progress of the fluid treatment (described in more detail below). Container 214
may also include a slit 226 and/or apertures 228, 230 for placement over corresponding
pegs (193) on tray 90. Materials such as those described above are suitable for use
in container 214. Container 214 may also include sampling pouches 214a and access
ports 214b to allow for fluid access during later transfusion, as will be recognized
by those of ordinary skill.
[0147] In an alternative embodiment, disposable processing set may include a single container
for housing the adsorbent material of container 210 and for storing the biological
fluid, thereby combining the functions of container 210 and 214 described above.
[0148] The disposable processing set 200 described herein may further include frangible
members 230 (a-c) disposed within tubing segments as shown in Fig. 15. Frangible members
230 are broken at the appropriate time to establish fluid communication between the
containers of the processing set 200. Such frangible connectors are described in detail
in
U.S. Patent No. 4,294,297 . Tubing segments of disposable processing set 200 may further include indicators
234a and 234b on the tubing to indicate proper positioning of the disposable processing
set within the tray 90 (as will be described more detail below) and/or to serve as
indicators of where tubing is to be severed and sealed. In one embodiment, indicators
234 may be plastic rings disposed around tubing segments. Of course, other tubing
indicating means may be used.
[0149] Another embodiment of a fluid processing set is shown in Fig. 16. In Fig. 16, disposable
processing set 240 also includes a container 242 which carries a photochemical agent,
a container 244 which holds the biological fluid during light treatment, a container
246 which includes an adsorbent material for removing excess photochemical agent and/or
the byproducts of the photoactivation process, and a container 248 suitable for storage
of the biological fluid. Container 248 is adapted to receive label 249 with bar codes
or other indicia and may include additional indicia 251 including, for example, additional
bar codes as substantially described above.
[0150] In contrast to the container 210 of the earlier described embodiment, container 246
is a flow through device which includes adsorbent material 212 but does not include
a chamber for holding the biological fluid for any significant period of time. Such
flow through devices are described in
International Publication No. WO 96/40857. Disposable processing set 240 may further include an air reservoir 256 and air sink
258. Air reservoir 256 provides air to help expel biological fluid from container
244 and air sink 258 receives excess air expelled from storage container 248 after
processing. Air reservoir 256 and air sink 258 may be made of any suitable biocompatible
material, including the materials described above. Likewise, the containers of disposable
processing set 240 may also be made from the materials generally described above.
Preferably, container 256 is substantially impermeable to air.
[0151] As in the embodiment of Fig. 15, the containers of disposable processing set 240
shown in Fig. 16 may be integrally interconnected by tubing segments 243, 245 and
247. Tubing segments may further include frangible members 249 (a-c) for opening fluid
communication between the containers.
[0152] Disposable processing set 200 (or 240) is typically provided to the user in a sealed
package in a manner that is easy for the user to unpack and use. For example, upon
opening the package, it is preferred that the container to be used first in the fluid
processing be located near the top of the package. For example, in the processing
set 200 shown in Figure 15, container 202 would be located near the top of the package,
followed by container 206, followed by the remainder of the disposable processing
set that includes containers 210 and 214. In addition, if disposable processing set
includes container 202, (or 242 in the embodiment of Fig. 16) at least such container
should include a separate and additional light impermeable overwrap to protect the
contents (i.e. the photochemical agent) from exposure to light which could result
in premature activation of the photochemical agent. In one embodiment, the light impermeable
overwrap may be permanently sealed to the outer walls of container 202.
[0153] In a preferred embodiment, containers 210 and 214 may be contained within or held
together by a holder. Holder may be any device such as a clamp that holds together
containers 210 and 214. The holder may be integral with the disposable processing
set or may be provided separately.
[0154] More preferably, holder 260, shown in Figs. 17-18, may be a receptacle or other shell-like
holding device. In one embodiment, holder 260 may include a bottom wall 262 which
separates the containers 210 and 214 from container 206. In a preferred embodiment,
holder 260 may have sidewalls 262 and 264, a back wall 268 and includes a substantially
open front portion as shown in Figs. 17-18. In addition, bottom wall 262 may include
a slot 263 to accommodate tubing that connects containers of disposable processing
set 200. Holder 260 may also include additional side openings 265 (shown, for example,
in Fig. 17) for holding tubing segments of container 202 prior to unpackaging of the
disposable processing set. Holder 260 may be made of any suitable material such as
but not limited to plastic or cardboard. Preferably, holder 260 is made of a moldable
plastic material that may be sterilizable and impact resistant.
[0155] Alternative embodiments of holder 260 are shown in Figs. 18A-18D. As shown in Figs.
18A-18C, holder may include two frame or partial frame portions 600 and 602. Frame
portions 600 and 602 may be joined and include hinge 604 as shown in Fig. 18B and
18C. Alternatively, frame members 600 and 602 may be completely separable as shown
in Fig. 18D. Frame portions 600 and 602 include means for securing together the frame
portions such as mating slots 605 and pins or lugs 606 as shown. Holder 260 shown
in Figs. 18A-18D includes a central opening 608 to allow the label of a container
placed within holder 260 to be exposed to the outside environment to allow scanning
by, for example, a bar code reader and/or marking by markers 76 as described below.
[0156] In one embodiment, container 210 is placed in the front portion of holder 260, such
that a label to be applied to the container 210 and other indicia on the container
itself are exposed to the outside environment through the open portion of holder 260
as shown in Fig. 17. For purposes of illustration, in Figs. 17-18, label is shown
as applied to container 214. In one embodiment container 214 may not include label
at the time of use and a label may be transferred to container 214 from a container
of biological fluid. Alternatively, container 214 may include a label and an additional
label may be transferred from a container of biological fluid. In any event, container
214 may be folded in half (or tri-folded) with container 210 (also folded) placed
behind container 214. In addition, folded container 214 may be lightly spot welded
at its ends to keep the container folded and improve handleability of the container.
The weld should be sufficiently strong to keep container 214 in a folded position,
but not so strong that undue force applied by the user would be required to disconnect
the welded ends. Spot welded ends of container 210 should release when tugged gently
by the user.
Methods of Processing and Treating Fluid
[0157] The method of processing fluid using disposable processing set 200 (or 240) and treating
a biological fluid with light in, for example, light box 10 will now be described.
Although the following description will be provided in the context of processing the
biological fluid for subsequent inactivation of pathogens in the biological fluid,
it should be understood that many of the steps described below may also be carried
out in other fluid processing and treating methods that do not involve pathogen inactivation.
The following description will be provided using the disposable processing set of
Fig. 15 as an example, although it will be understood that the description may also
apply to other processing sets, such as the set of Fig 16.
[0158] In accordance with the method of processing a biological fluid such as blood using
the processing set 200, a container of collected blood or biological fluid is provided.
Although the method of collection is beyond the scope of the present application,
representative methods of collecting blood products include the automated and manual
centrifugal processing, separation and collection of blood products, membrane separation
of blood products and the like. One example of a centrifugal blood processing system
is the AMICUS
® Separator sold by Baxter Healthcare Corporation.
[0159] Regardless of the collection method, containers of the collected blood product will
typically bear a label that includes information identifying the donor, the blood
product and lot numbers. Most typically, such information is presented in the form
of one or more bar codes on the label, which can be scanned and read by bar code reader,
such as bar code reader 41 of light box 10. Such labels may be removable and transferable
to container 214 of the disposable processing set 200.
[0160] Typically, the collection container will include a tubing segment extending therefrom.
Accordingly, tubing from the collection container 201 and tubing segment 203 from
the disposable processing set 200 are brought together and joined in a sterile manner,
as shown generally in Fig. 17. A device that is useful for the sterile joinder of
tubing portions is available from Terumo Corporation of Japan and sold under the name
Terumo SCD. This device heat seals two opposing tubing portions in a sterile manner.
The heat from the heat sealing kills any bacteria from the outside environment that
may enter or reside in the tubing segments, thereby preserving the sterility of the
entire processing set. Of course, any method and apparatus for joining two tubing
segments while maintaining sterility may be used.
[0161] Once tubing segments have been joined, frangible member 230a is broken to provide
an open flow path from the collection container 201 to the container 206 (Fig. 15).
Photochemical agent from container 202 is also allowed to flow into container 206.
After fluid transfer to container 206, tubing segment may be severed and sealed and
the portion of the disposable processing set that included container 202 and the collection
container(s) 201 are discarded. Indicator 234a provides a reference point as to where
the tubing is to be severed. It is preferable that the indicator be placed as close
as possible to the container 206 so that most of the biological fluid is retained
within container 206 where it is most likely to be mixed and treated.
[0162] Before or after placement of the disposable processing set in tray 90, operator may
scan the label and other container indicia with bar code reader 41. Bar codes 222
on the main container label 216 or the container itself provide the instrument with
information regarding the biological fluid to be treated. Based on the data, the light
treating instrument or operator prescribes the light dosage and then calculates the
duration of the treatment.
[0163] Container 206 of disposable processing set 200 is typically placed in first compartment
of tray 90. Slit 207 in container 206 is placed over retaining tab 186 in first compartment
188 and holder 260 with containers placed therein is placed within the second compartment
190 of tray 90. Slits and/or apertures in container 216 are likewise placed over retaining
tabs or pegs 193 in second compartment 190. Tubing connecting container 206 with container
210 (and/or 214) may be pressed into the slot in wall 192. It is preferable that the
tubing be positioned parallel to the direction of the side-to-side oscillation provided
by the agitator assembly described above. This further ensures that any fluid within
tubing segment 208 is also mixed. Indicator 234b not only serves as a reference point
for severance of the tubing but also serves as a reference point for container placement
by ensuring that substantially the entire container and biological fluid therein is
within the field of light. The indicator has a diameter greater than the width of
the slot.
[0164] Once the containers are in their respective compartments of tray 90, fluid carrying
drawer 50 is closed. As set forth above, plunger switch 36a (Fig. 4) is pressed when
door 36 is closed. If door 36 is open, plunger switch 36a serves as an electrical
cut off. If, the door is open, the system will not permit the treatment to proceed.
[0165] Light box 10 includes a programmable computer software-based control system to control
the operation of light box 10. The control system is generally and diagrammatically
depicted in Figs. 19-23. As shown in Figures 19-23, the system tests, monitors and
controls various aspects of the light box 10 and treatment operation such as the start
up, container loading, container treatment and container unloading stages of the light
box operation. The control system allows the operator to take action or advises the
operator of the treatment status through either an alphanumeric or a graphical user
interface displayed on screen 37. The various functions may be initiated by the operator
through control panel or automatically by the control system itself.
[0166] For example as shown in Fig. 19, after the operator has turned on the instrument
(step 700), the control system will initiate a series of steps including checking
for file system integrity 700a, loading the software 700b, displaying the graphical
user interface (GUI) screen 701, and continuing to initialize 702 the light box 10
until a screen is generated requesting the user to log in 703. After the user logs
in, the main menu 704 is displayed. The operator may then select from the series of
available functions 705 including the treatment function 706, the print function 707
or the illuminate settings 708. Alternatively, the operator may choose the exit function
712 to exit the system. Diagnostic checks 710 may also be selected and performed,
typically by a service technician.
[0167] If the treatment function 706 in Fig. 19 is selected, the control system, through
the programmed software will automatically determine if treatment is appropriate 713
and more particularly, if light box 10 is prepared for treatment as shown in Fig.
20A. Thus, for example, if the system detects a failure in the light source, or a
failure in one of the sensors or other equipment, an error message 714 will be displayed
and the user will be requested to press the enter 714a option. Treatment will then
not be enabled and will not proceed until the condition is remedied. If treatment
is enabled however, the system will then determine if treatment was otherwise cancelled
715. If not, the system will prompt the operator to input the container (i.e. biological
fluid) information 716. Container information may be input manually or by scanning
bar codes 222 on, for example, container 214 shown in Fig. 15. The system again determines
if the treatment process has been cancelled. If the data from the bag information
entry in step 716 is valid at step 718, the system proceeds to the next function or
phase as generally shown in Fig. 20B.
[0168] As shown in Figure 20B, the control system displays additional options for the operator
to select at step 719. For example, the operator may proceed to treatment of the container,
request treatment of a second container or cancel the operation entirely as shown
at step 720. At step 719, the user may elect to return or to enter the next selection.
If "Bag 2" option is selected at step 719a, the operator is again requested to input
container information at step 722 and the system will repeat the steps generally described
above before commencing the treatment process at step 724a. If treatment on a single
container is to be performed, the operator selects the treatment function at step
324, which is described in more detail below. When the treatment process at step 724
is finished, the system prompts the user for another treatment. If another treatment
is selected at step 726, the system returns to point A in Fig. 20A to input the new
bag information, step 716, and to determine if the new bag information is valid, step
718, while continuing to permit treatment to be cancelled at steps 715 and 717.
[0169] After containers have been placed into tray 90, to commence treatment the system
activates the light source(s) 100, shaker motor 92 and fans as shown in step 728 of
Fig. 21. The instrument may display, for verification by the operator, information
regarding the fluid to be treated and the treatment process generally, as at step
730. For example, in one embodiment, the instrument may display, the predetermined
target dose of energy to be applied to containers, the selected treatment time and
a running value of the dosage percent being applied to the biological fluid during
the treatment as shown in step 730. Treatment will continue unless terminated by the
operator or automatically terminated by the instrument in response to an alarm condition.
[0170] In one embodiment, container may be marked by markers 76 at the beginning of treatment
and after treatment is completed. The marks made by marker 76 obliterate or otherwise
masks the bar code, making it unreadable. Thus, a container with two masked bar codes
224 indicates that treatment has been successfully completed. On the other hand, if
only one of the bar codes 224 has been masked, this serves as an indication that treatment
was not successfully completed and the container may have to be discarded. Masking
of bar codes 224 by markers 76 also ensures that a treated container will not be treated
again.
[0171] During treatment, the system performs an energy calculation at step 732, which is
computed by multiplying the light intensity sensor readings by preselected calibration
factors, averaging the readings across the sensors in the same chamber and plane and
adding the reading received for planes in the same chamber. The control system further
verifies the treatment status at step 734. If treatment is completed at step 735,
the system will check the keypad at step 735a and determine if the stop key was pressed
at step 735b before turning off lamps 100 as shown at step 736.
[0172] The system may automatically update information on the lamp life as shown at step
737 and update container records at step 738. Control system may continue to power
shaker motor 92 until terminated. The results are preferably transmitted to a microprocessor
or central processing unit (CPU) 603 on computer board 602 (Fig. 33). After treatment,
the system will prompt the operator to unload containers at step 742 and may prompt
the user to perform another treatment, if desired, as at step 725 in Fig. 20B. The
process may be repeated as generally described above.
[0173] The process of determining the light intensity, determining the current energy dose
and determining the treatment time based upon a predetermined or target energy dose
is shown in the flow chart of Fig. 21A. This corresponds, in part, to the energy calculation
step 732 in Fig. 21. It is assumed that treatment has been initiated at step 724,
which also corresponds to steps 724 or 724a in Fig. 20B. When treatment is initiated,
lamps 100 are illuminiated at step 770. Light sensors 404 at step 771 make a measurement
of the light intensity from lamps 100. Light sensors 404 convert the measured illumunination
level into a signal with a frequency that is related to the sensed light intensity
at step 771. At step 772, the signals from each sensor 404 are combined by a multiplexer
into a multiplexed frequency signal. At step 773, the frequencies of each sensor in
the miltiplexed signal are counted to provide a count that represents a composite
of the illumination levels measured each for each light sensor. The count of the test
frequency signals 657 is then checked at step 774 to determine the accuracy of the
counted test frequency signals from step 773. Since the frequencies of test signals
657 are known, the count of these frequencies will confirm the accuracy of the information
counted by the counter. This in turn, will determine the reliability of the count
of the sensor signals from step 773. At step 775, the counts of the sensor signals
step 773, and the count of the test frequencies from step 774, are compared to corresponding
counts from a secondary or redundant sensing circuit, to confirm that the counts from
the primary sensing circuit are valid. At step 776, calibration coefficients are applied
to each sensor count by CPU 603 to provide a corrected signal count. These calibration
coefficients are defined during the calibration procedure, as will be explained below
in Fig. 21B. With a corrected signal count, CPU 603 can determine the corresponding
light intensity level in light box 10 at step 777. The light sensing system typically
measures the light intensity about once every second. Using the corrected light intensity
measurements, CPU 603 continuously updates the current energy dose that has been delivered
to one or both of treatment chambers 42 and/or 44. Based upon the current energy dose
and the current corrected illumination level, CPU can determine the remaining treatment
time as well as the total treatment time, at step 779, needed to deliver the target
dose, which was identified as one of the treatment parameters at step 730 in Fig.
21. When target dose is reached, treatment is terminated and illumination ceases,
at step 779a.
[0174] The process of calibrating the light box 10 with a pair of radiometers 460 is illustrated
in Fig. 21B. The user first selects the calibration mode at step 780. Preferably,
a bar code on radiometer 460 is first scanned to identify the radiometer being used
at step 781. As previously explained this bar code identifies radiometer 460 by serial
number or the like, provides calibration codes, such as for each sensor 469 in radiometer
460, and also provides an expiration date before which radiometer 460 will need recalibration.
The radiometer calibration codes are provided to CPU 603 for use in correcting light
intensity measurements made by the radiometer. The user then places radiometer 460
in one of the compartments of tray 90 such as the compartment that corresponds to
first chamber 42 of light box 10, as in step 782. Preferably, the previously described
agitator system is started so that the radiometer measures light intensities from
lamps 100 as if radiometer 460 is a biological fluid under treatment. As previously
described and as shown in Fig. 14A, radiometer 406 has eight light sensors 469 disposed
on each side, with four sensors located near the corners and the remaining four sensors
located more centrally between the four corners. Note that radiometer 460 will be
measuring light intensity as actually received by a biological fluid after being filtered
by any filters and as received after light transmission through tray 90 from the lower
lamps 100. The light intensities measured by radiometer 460 are therefore more accurate
that the light intensities measured by light sensors 404, which are disposed on the
opposite sides of lamps 100 from radiometer 460. Radiometer 460 is thus able to more
accurately measure light intensity in tray 90 where biological fluids are placed for
treatment. It is therefore desirable to calibrate light sensing system 650 to measure
light intensity received at tray 90 similarly to that measured by radiometer 460.
[0175] CPU 603 receives data from each sensor 469 in radiometer 640 to measure the light
intensity in step 783. At the same time, CPU 603 receives data from both upper and
lower light sensors 404 in step 784, which corresponds to steps 771-773 in Fig. 21A.
In step 785, CPU 603 calculates a calibration coefficient for each sensor 404 based
upon the corrected illumination intensity readings from radiometer 460 and the uncorrected
illumination intensities from illumination sensing system 650.
[0176] Calibration coefficient or correction coefficient means any number or set of numbers
that is used to correct measured illumination intensities to within a predefined tolerance
of NIST standards. Thus, a general objective is to transfer the more accurate illumination
measurement capabilities of the pre-calibrated radiometer 460 when disposed in treatment
chambers 42 or 44 to the more remotely located light sensing system 650 such that
light sensing system 650 will measure light intensities in chambers 42 and 44 in a
manner similar to that of radiometer 460 when disposed therein. These calibration
coefficients are preferably linear scaling factors that enable the light sensing system
650 to emulate the light measuring accuracy of radiometer 460 in the treatment chambers.
These calibration coefficients, as determined in step 785, are temporarily stored
in memory for future use.
[0177] At the conclusion of the calibration procedure with a first radiometer 460, the user
will be prompted to again calibrate the first chamber 42 with a second radiometer
460. Use of a second radiometer is preferred to confirm the calibration results obtained
from the first radiometer. The user scans a bar code on the second radiometer so that
light box 10 can confirm that a different radiometer is being used. Steps 782-785
are repeated with the second radiometer. If the calibration results from the second
radiometer at step 785 are within a certain tolerance, such as about 10 percent, the
calibration coefficient results are saved in memory, at step 787 for use in obtaining
corrected light intensity measurements. If the results are not within the defined
tolerance, it is assumed that one of the two radiometers is faulty and the user is
instructed to return both radiometers for service. In this instance, none of the calibration
coefficients is saved for use in calculating the light intensities, and the calibration
coefficients from the last prior recalibration procedure continue to be used.
[0178] This ends the calibration procedure for the first compartment of the light box 10,
at step 788, and steps 781-787 are preferably repeated to calibrate the light intensity
measurements in the second compartment.
[0179] Treatment time and energy dosage will vary depending on the biological fluid to be
treated. For example, the treatment time may be at least one minute but may also be
less than one minute. Where light box 10 is used for the pathogen inactivation of
biological fluid, the treatment may typically be anywhere between 1-30 minutes. For
example, for the pathogen inactivation of blood platelets, treatment is typically
between 1-10 minutes, but more typically approximately 3-4 minutes. For the pathogen
inactivation of blood plasma, treatment may also preferably be approximately 3-4 minutes.
[0180] Energy per unit area, or energy flux, is the product of power per unit area or, in
the case of radiant flux, at the target, and the time of exposure. Accordingly, the
amount of energy per unit area delivered to the target (for example, in one embodiment,
the biological fluid) will vary with the duration of exposure and the irradiance --
the radiant power per unit area incident on the target. In one embodiment the total
radiant energy flux delivered may be between approximately 1-100 J/cm2 measured across
a wavelength range of between approximately 300-700 nm. However, any useful wavelength
that activates photochemical agents may be used. In general, light box 10 can be retrofitted
for various illumination frequencies to illuminate treatment targets in treatment
chamber 40, including those light frequencies outside of the range of 300-700 nm.
[0181] In another embodiment, where the light source provides light generally in the ultraviolet
range, the total radiant energy flux delivered to the biological fluid may preferably
be between 1-20 Joules/cm
2 measured across a wavelength range of between approximately 320-400 nm. In one specific
embodiment, the total radiant energy flux delivered to blood platelets or blood plasma
may be between approximately 1-5 J/cm2 and more typically approximately 3-4 J/cm
2 measured across a wavelength range of between approximately 320-400 nm. Preferably,
the energy should not be outside the predetermined range in that excess heat generated
within fluid treatment chamber 40 is to be avoided. For light treatment of blood platelets
and blood plasma, for example, temperature within chamber 40 should typically not
exceed 37 C. If an external temperature sensor of the type described above is used,
the ambient temperature should be between 18-30 C.
[0182] During treatment, tray 90 is preferably agitated at a preset frequency. Of course,
the frequency should not be so great so as to harm the biological fluid or components
thereof. Typically, the tray 90 may be agitated between approximately 40-100 cycles/min
and for blood platelets, more preferably, between approximately 40-80 cycles/per minute.
A cycle is defined as one complete back and forth oscillation of drawer 80. Additionally,
it may be desirable for agitation may continue for up to 30 minutes after blood platelets
have been treated with the desired target light dose, i.e., after illumination in
the light box 10 is terminated.
[0183] Once treatment has been successfully completed, fluid from container 206 may be transferred
to container 210 by breaking frangible number 230b and opening the flow path between
the containers 206 and 210 (Fig. 15). Once inside container 210, the biological fluid
is allowed to contact the adsorbent material for a selected period of time. As noted
above, in one embodiment, container 210 may also include time-sensitive tabs 209 that
change color over time. This way, the operator will know if the container has been
in contact with the adsorbent material for the appropriate period of time. The adsorbent
material is selected to remove any residual photochemical agent or any by products
of the photochemical process that may have been included in the biological fluid.
The adsorbent material may include polystyrene beads or activated charcoal or other
adsorbent material. Such materials are described in greater detail in International
Publication No.
WO 96/40857,
[0184] Alternatively, in the disposable processing set 240 shown in Fig. 16, the biological
fluid may simply pass-through container 246 without residing for any significant time,
within the container. The details of the removal process and materials used are described
in the above-identified International Publication No.
WO96/40857.
[0185] The residence time, if any, of the biological fluid in container 210 (or 246) will
be anywhere between approximately 30 seconds and 7 days. In addition, during contact
of the biological fluid with the adsorbent material of container 210, it may be desirable
to shake or otherwise agitate container 210 to ensure maximum contact with the adsorbent
material.
[0186] Regardless of which disposable set is used, after the required residence time, if
any, the biological fluid may be transferred to container 214 (or 248 in Fig. 16)
by breaking frangible member 230C where it may be stored prior to transfusion to a
recipient. Label 216 (or 249) applied to storage container 214 (or 248) now carries
identifying information regarding the donor and the fluid. Masked bar codes 224 (or
251) indicate successful treatment of the biological fluid and that no additional
treatment is required. The container may be severed and sealed from the remaining
portion of the disposable processing set as generally described above.
[0187] In addition to the treatment function generally described above and as generally
depicted in Fig. 22, the control system may prompt the operator to perform other customer
functions at steps 743, 744 and 744a, such as a system settings function at step 745
that allows the operator to set the date and time at step 748 and select the appropriate
language at step 749. The control system also allows the operator to select certain
container management functions such as auto-printing at step 751, a report printer
at step 752, a label printer at step 753 or transmitting process reports to a data
management system at step 754.
[0188] Alternatively, the diagnostics menu 755 shown in general in Fig. 23 may be selected.
After waiting for the user to select an option at steps 756 and 756a, the user may
select to see product data at step 757, initiate device tests at step 758, access
service information at step 760 or initiate diagnostics at step 760. It will be appreciated
that steps 757-759 may have sub-options like diagnostics step 760. Selecting diagnostics
option 760 permits a maintenance person or supervisor to enter new operator ID information
at step 762 to permit new persons to be authorized to operate light box 10, to over-write
bag records at step 763, to reset lamp life information, as when lamps are replaced,
at step 764 and to print a maintenance log at step 765.